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Abstract(s)
Introdução: O esmalte dentário pode sofrer alterações em diferentes estágios
da amelogénese, sendo o resultado de vários fatores, tanto a nível sistémico,
ambiental como hereditário. Assim sendo, existem vários tipos de defeitos de
esmalte, como por exemplo, a hipomineralização molarincisivo (HMI),
hipomineralização dos segundos molares decíduos (HSMD), fluorose e
amelogénese imperfeita (AI).
Materiais e Métodos: Realizouse uma revisão sistemática, do tipo umbrella
review, seguindo as diretrizes PRISMA. As pesquisas foram conduzidas, através
das bases de dados eletrónicas, Pubmed, Scopus e Web of Science sendo
identificados os estudos até abril de 2022. A questão de pesquisa de acordo com
o método PICO foi estabelecida “Qual o material mais indicado para proteção/
tratamento de molares permanentes com alterações de esmalte de diferentes
etiologias?”. Após estabelecer a estratégia de pesquisa, os estudos foram
selecionados, com os critérios de inclusão e exclusão, os dados extraídos e a
calibração foi concluída por dois revisores independentes. A qualidade
metodológica foi avaliada através da ferramenta AMSTAR2 e para o risco de
viés das revisões sistemáticas incluídas, utilizouse a ferramenta ROBIS. Por fim,
a análise relativamente ao nível de evidência foi efetuada pela ferramenta
GRADE.
Resultados: 313 artigos foram identificados no decorrer da pesquisa, nas três
bases de dados integrando de igual modo, a pesquisa manual. Após a exclusão
dos duplicados, 279 estudos foram avaliados tendo em conta o título e o abstract,
onde 15 acabaram por ser selecionados para a leitura integral com a finalidade
de avaliar a sua elegibilidade. Um total de sete estudos foram incluídos para
análise desta revisão sistemática.
Conclusão: As opções disponíveis para o tratamento de dentes com alterações
de estrutura de esmalte são variáveis, desde a prevenção, restauração até
mesmo à extração. Apesar de existirem resultados sugestivos, há evidentemente
uma clara necessidade na realização de mais estudos clínicos, que possam
fornecer resultados mais confiáveis sobre o assunto.
Introduction: Dental enamel can undergo changes at different stages of amelogenesis as a result of the interplay of various factors both at the systemic, environmental and hereditary levels. Consequently, several types of enamel defects such as molar incisor hypomineralization (MIH), hypomineralization of the decidous second molars (HSPM), fluorosis and amelogenesis imperfecta (AI) can arise. Materials and Methods: A systemic umbrella review was performed following the PRISMA guidelines. Results of searches up to April 2022 of the electronic databases Pubmed, Scopus and Web of Science were included in the current study which aimed at attempting to answer the question as to which materials were most suitable for the protection/treatment of permanent molars with enamel alterations, based on the Pico research scientific strategy. After establishing search strategy, studies were selected with defined inclusion and exclusion criteria. The data extracted and calibration was finalized by two independent reviewers. The methodological quality was evaluated by means of the AMSTAR2 tool and the risk of bias of the systematic review was assessed with the ROBIS tool. For the analysis of the level of evidence, the GRADE tool was utilized. Results: In all, 313 articles were identified during the search of the three databases plus a complementary manual search. After excluding duplicates, 279 articles were evaluated based on their titles and abstracts. Of these, 15 articles were eventually selected for complete reading in order to assess their eligibility. A total of seven studies met the predefined criteria and were deemed suitable for inclusion in the current systematic review. Conclusion: The options currently available for the treatment of teeth with changes in their enamel structure vary from prevention, restoration or even extraction. Although the results of the present study suggest certain treatment options, there is evidently a need for further clinical studies, which might suggest with a higher degree of confidence, which materials are most suitable for the protection/treatment of permanent molars with enamel alterations.
Introduction: Dental enamel can undergo changes at different stages of amelogenesis as a result of the interplay of various factors both at the systemic, environmental and hereditary levels. Consequently, several types of enamel defects such as molar incisor hypomineralization (MIH), hypomineralization of the decidous second molars (HSPM), fluorosis and amelogenesis imperfecta (AI) can arise. Materials and Methods: A systemic umbrella review was performed following the PRISMA guidelines. Results of searches up to April 2022 of the electronic databases Pubmed, Scopus and Web of Science were included in the current study which aimed at attempting to answer the question as to which materials were most suitable for the protection/treatment of permanent molars with enamel alterations, based on the Pico research scientific strategy. After establishing search strategy, studies were selected with defined inclusion and exclusion criteria. The data extracted and calibration was finalized by two independent reviewers. The methodological quality was evaluated by means of the AMSTAR2 tool and the risk of bias of the systematic review was assessed with the ROBIS tool. For the analysis of the level of evidence, the GRADE tool was utilized. Results: In all, 313 articles were identified during the search of the three databases plus a complementary manual search. After excluding duplicates, 279 articles were evaluated based on their titles and abstracts. Of these, 15 articles were eventually selected for complete reading in order to assess their eligibility. A total of seven studies met the predefined criteria and were deemed suitable for inclusion in the current systematic review. Conclusion: The options currently available for the treatment of teeth with changes in their enamel structure vary from prevention, restoration or even extraction. Although the results of the present study suggest certain treatment options, there is evidently a need for further clinical studies, which might suggest with a higher degree of confidence, which materials are most suitable for the protection/treatment of permanent molars with enamel alterations.
Description
Keywords
Hipomineralização molar-Incisivo Tratamento Revisão sistemática Amelogénese imperfeita Defeitos de desenvolvimento do dente Molar-Incisor hypomineralization Treatment Systematic review Amelogenesis imperfecta Developmental dental defect